Provider Demographics
NPI:1902029929
Name:SPORTS THERAPY OF NASHVILLE, LLC
Entity Type:Organization
Organization Name:SPORTS THERAPY OF NASHVILLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:615-284-2000
Mailing Address - Street 1:PO BOX 331251
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7512
Mailing Address - Country:US
Mailing Address - Phone:615-342-0223
Mailing Address - Fax:615-320-5900
Practice Address - Street 1:7115 S SPRINGS DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-1616
Practice Address - Country:US
Practice Address - Phone:615-778-8800
Practice Address - Fax:615-778-8852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Single Specialty
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty